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Association Between Participant Satisfaction and Self-Reported Clinical Practice Behaviors in a Nationwide Guideline
Kazuhiko Yamamuro1,2, Kenta Ide3,4, Yusuke Arai5
1Center for Health Control, Nara Medical University, Kashihara, Nara, Japan.
Neuropsychopharmacology Reports
|July 14, 2026
Summary
Psychiatrist satisfaction with educational programs correlates with improved clinical behavior, indicating positive training experiences can enhance national psychiatric practice.
Area of Science:
- Medical Education
- Psychiatry
- Clinical Practice Guidelines
Background:
- Educational interventions aim to improve psychiatric practice adherence to guidelines.
- The link between participant satisfaction and actual behavior change is often unclear.
- This study investigated the relationship between satisfaction with EGUIDE training and clinical behavior (CB).
Purpose of the Study:
- To assess the association between subjective assessment (SA) scores from EGUIDE training programs and psychiatrists' clinical behavior (CB).
- To determine if satisfaction with training for schizophrenia and major depressive disorder (MDD) impacts guideline-concordant practice.
Main Methods:
- A multicenter observational study analyzed data from 1399 psychiatrists participating in EGUIDE training.
- Subjective assessment (SA) scores were collected post-training via questionnaires.
- Clinical behavior (CB) was measured using self-report, assessing general and disorder-specific guideline adherence.
Main Results:
- A significant positive correlation was found between comprehensive SA scores and comprehensive CB scores (r=0.19, p<0.001).
- Specific SA scores for schizophrenia and MDD positively correlated with all CB domains (ρ=0.14-0.19, all p<0.001).
- Small but consistent effect sizes indicated associations across disorders and clinical areas.
Conclusions:
- Higher satisfaction with guideline-based educational programs is linked to increased self-reported guideline-concordant clinical behavior.
- Positive educational experiences may contribute to national-level improvements in psychiatric practice.
- The findings support the value of engaging and satisfying educational interventions in professional development.
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